…friendly, professional customer service. + Apply knowledge of CHI Health levels of care and managed care contracts to facilitate appropriate referrals

…online insurance eligibility and pre- certification systems. Must have expertise in insurance, managed care and federal/ state coverage. Must be customer focused

…care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals,

…plans and information necessary for billing and reimbursement purposes, including managed care plans, Medicare secondary payor requirements, ACO primary

…with a service excellent attitude. + Ability and willingness to work in a managed care environment. + Excellent ability and history of direct, gracious,

…and/or trauma upon the patient and their support system. + Advanced knowledge of managed care and public programs such as those funded by Medicare, Medicaid,

…* Maintains comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals. * Performs duties

…relationships with referents and other collateral contacts (ie, Probation, Parole, CPS, managed care , EAP's, courts, etc.) through timely written, phone,

…Shares knowledge with staff through verbal and prepared written communication. Ensures CHS managed care contracts terms and conditions are adhered to by support

…andbe responsible for preparing, reviewing, analyzing, and responding to requests for managed care , provider, and other related healthcare agreements. + Prepares